DE102021110331A1 - Verfahren zum Steuern einer Blutbehandlungsvorrichtung, und Vorrichtungen - Google Patents
Verfahren zum Steuern einer Blutbehandlungsvorrichtung, und Vorrichtungen Download PDFInfo
- Publication number
- DE102021110331A1 DE102021110331A1 DE102021110331.2A DE102021110331A DE102021110331A1 DE 102021110331 A1 DE102021110331 A1 DE 102021110331A1 DE 102021110331 A DE102021110331 A DE 102021110331A DE 102021110331 A1 DE102021110331 A1 DE 102021110331A1
- Authority
- DE
- Germany
- Prior art keywords
- blood
- treatment device
- pump
- blood treatment
- transmembrane pressure
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 239000008280 blood Substances 0.000 title claims abstract description 179
- 210000004369 blood Anatomy 0.000 title claims abstract description 179
- 238000000034 method Methods 0.000 title claims abstract description 68
- 230000001105 regulatory effect Effects 0.000 claims abstract description 21
- 238000004590 computer program Methods 0.000 claims abstract description 20
- 230000001276 controlling effect Effects 0.000 claims abstract description 8
- 239000012528 membrane Substances 0.000 claims description 20
- 239000000385 dialysis solution Substances 0.000 claims description 18
- 239000007788 liquid Substances 0.000 claims description 17
- 238000000926 separation method Methods 0.000 claims description 17
- 238000000502 dialysis Methods 0.000 claims description 13
- 238000000108 ultra-filtration Methods 0.000 claims description 9
- 238000001631 haemodialysis Methods 0.000 claims description 7
- 230000000322 hemodialysis Effects 0.000 claims description 7
- 238000005086 pumping Methods 0.000 claims description 7
- 230000033228 biological regulation Effects 0.000 claims description 5
- 238000002615 hemofiltration Methods 0.000 claims description 5
- 238000001514 detection method Methods 0.000 claims description 3
- 238000012423 maintenance Methods 0.000 claims description 3
- 230000001960 triggered effect Effects 0.000 claims 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 8
- 239000012141 concentrate Substances 0.000 description 7
- 238000010790 dilution Methods 0.000 description 7
- 239000012895 dilution Substances 0.000 description 7
- 238000011144 upstream manufacturing Methods 0.000 description 5
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 4
- 229910052708 sodium Inorganic materials 0.000 description 4
- 239000011734 sodium Substances 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 102000005393 Sodium-Potassium-Exchanging ATPase Human genes 0.000 description 3
- 108010006431 Sodium-Potassium-Exchanging ATPase Proteins 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 239000011780 sodium chloride Substances 0.000 description 3
- 230000002792 vascular Effects 0.000 description 3
- 206010001526 Air embolism Diseases 0.000 description 2
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 2
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 2
- 230000004872 arterial blood pressure Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 239000000706 filtrate Substances 0.000 description 2
- 229960002897 heparin Drugs 0.000 description 2
- 229920000669 heparin Polymers 0.000 description 2
- 230000003993 interaction Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 238000012546 transfer Methods 0.000 description 2
- 101100116570 Caenorhabditis elegans cup-2 gene Proteins 0.000 description 1
- 101100116572 Drosophila melanogaster Der-1 gene Proteins 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 206010018873 Haemoconcentration Diseases 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 238000010241 blood sampling Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000007872 degassing Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000002572 peristaltic effect Effects 0.000 description 1
- 230000001698 pyrogenic effect Effects 0.000 description 1
- 238000001223 reverse osmosis Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 230000036642 wellbeing Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1601—Control or regulation
- A61M1/1603—Regulation parameters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3622—Extra-corporeal blood circuits with a cassette forming partially or totally the blood circuit
- A61M1/36226—Constructional details of cassettes, e.g. specific details on material or shape
- A61M1/362263—Details of incorporated filters
- A61M1/362264—Details of incorporated filters the filter being a blood filter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3626—Gas bubble detectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3627—Degassing devices; Buffer reservoirs; Drip chambers; Blood filters
- A61M1/3629—Degassing devices; Buffer reservoirs; Drip chambers; Blood filters degassing by changing pump speed, e.g. during priming
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
- A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
- A61M60/113—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems in other functional devices, e.g. dialysers or heart-lung machines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/247—Positive displacement blood pumps
- A61M60/253—Positive displacement blood pumps including a displacement member directly acting on the blood
- A61M60/268—Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
- A61M60/279—Peristaltic pumps, e.g. roller pumps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
- A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
- A61M60/37—Haemodialysis, haemofiltration or diafiltration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3334—Measuring or controlling the flow rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/70—General characteristics of the apparatus with testing or calibration facilities
- A61M2205/702—General characteristics of the apparatus with testing or calibration facilities automatically during use
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Vascular Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Cardiology (AREA)
- Urology & Nephrology (AREA)
- Emergency Medicine (AREA)
- Mechanical Engineering (AREA)
- Pulmonology (AREA)
- External Artificial Organs (AREA)
- Electrotherapy Devices (AREA)
- Investigating Or Analysing Biological Materials (AREA)
Priority Applications (9)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102021110331.2A DE102021110331A1 (de) | 2021-04-22 | 2021-04-22 | Verfahren zum Steuern einer Blutbehandlungsvorrichtung, und Vorrichtungen |
| PCT/EP2022/060501 WO2022223669A1 (fr) | 2021-04-22 | 2022-04-21 | Procédé de commande d'un dispositif de traitement du sang et dispositifs associés |
| EP22724073.6A EP4326361A1 (fr) | 2021-04-22 | 2022-04-21 | Procédé de commande d'un dispositif de traitement du sang et dispositifs associés |
| CN202280029985.3A CN117202948A (zh) | 2021-04-22 | 2022-04-21 | 用于控制血液治疗设备的方法和设备 |
| US18/556,201 US20240207494A1 (en) | 2021-04-22 | 2022-04-21 | Method for Controlling a Blood Treatment Apparatus, and Apparatuses |
| CA3217042A CA3217042A1 (fr) | 2021-04-22 | 2022-04-21 | Procede de commande d'un dispositif de traitement du sang et dispositifs associes |
| AU2022260476A AU2022260476A1 (en) | 2021-04-22 | 2022-04-21 | Method for controlling a blood treatment device, and devices |
| KR1020237038254A KR20230175224A (ko) | 2021-04-22 | 2022-04-21 | 혈액 처리 장치의 제어 방법 및 장치 |
| JP2023562733A JP2024514600A (ja) | 2021-04-22 | 2022-04-21 | 血液処置デバイスを制御するための方法およびデバイス |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102021110331.2A DE102021110331A1 (de) | 2021-04-22 | 2021-04-22 | Verfahren zum Steuern einer Blutbehandlungsvorrichtung, und Vorrichtungen |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE102021110331A1 true DE102021110331A1 (de) | 2022-10-27 |
Family
ID=81748424
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE102021110331.2A Pending DE102021110331A1 (de) | 2021-04-22 | 2021-04-22 | Verfahren zum Steuern einer Blutbehandlungsvorrichtung, und Vorrichtungen |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US20240207494A1 (fr) |
| EP (1) | EP4326361A1 (fr) |
| JP (1) | JP2024514600A (fr) |
| KR (1) | KR20230175224A (fr) |
| CN (1) | CN117202948A (fr) |
| AU (1) | AU2022260476A1 (fr) |
| CA (1) | CA3217042A1 (fr) |
| DE (1) | DE102021110331A1 (fr) |
| WO (1) | WO2022223669A1 (fr) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102022119819A1 (de) | 2022-08-05 | 2024-02-08 | Fresenius Medical Care AG & Co. KGaA | Blutbehandlungsvorrichtung |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5252213A (en) | 1989-06-20 | 1993-10-12 | University Of Washington | Dry dialysate composition |
| US20120065482A1 (en) | 2005-04-08 | 2012-03-15 | Mark Ries Robinson | Determination of blood pump system performance and sample dilution using a property of fluid being transported |
| US20130261529A1 (en) | 2004-12-03 | 2013-10-03 | Gambro Uf Solutions, Inc. | Extracorporeal blood treatment and system having reversible blood pumps |
| US20170296733A1 (en) | 2016-04-15 | 2017-10-19 | B. Braun Avitum Ag | Method of draining a device for extracorporeal blood treatment |
| EP2950834B1 (fr) | 2013-02-01 | 2019-07-24 | Medtronic, Inc. | Module de dégazage pour un circuit d'écoulement conforme commandé |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102011110472A1 (de) * | 2011-07-29 | 2013-01-31 | Fresenius Medical Care Deutschland Gmbh | Verfahren sowie Vorrichtungen zum Ablösen von Gasansammlungen von einem Gerinnselfänger eines extrakorporalen Blutkreislaufs |
-
2021
- 2021-04-22 DE DE102021110331.2A patent/DE102021110331A1/de active Pending
-
2022
- 2022-04-21 US US18/556,201 patent/US20240207494A1/en active Pending
- 2022-04-21 JP JP2023562733A patent/JP2024514600A/ja active Pending
- 2022-04-21 WO PCT/EP2022/060501 patent/WO2022223669A1/fr active Application Filing
- 2022-04-21 EP EP22724073.6A patent/EP4326361A1/fr active Pending
- 2022-04-21 KR KR1020237038254A patent/KR20230175224A/ko unknown
- 2022-04-21 AU AU2022260476A patent/AU2022260476A1/en active Pending
- 2022-04-21 CA CA3217042A patent/CA3217042A1/fr active Pending
- 2022-04-21 CN CN202280029985.3A patent/CN117202948A/zh active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5252213A (en) | 1989-06-20 | 1993-10-12 | University Of Washington | Dry dialysate composition |
| US20130261529A1 (en) | 2004-12-03 | 2013-10-03 | Gambro Uf Solutions, Inc. | Extracorporeal blood treatment and system having reversible blood pumps |
| US20120065482A1 (en) | 2005-04-08 | 2012-03-15 | Mark Ries Robinson | Determination of blood pump system performance and sample dilution using a property of fluid being transported |
| EP2950834B1 (fr) | 2013-02-01 | 2019-07-24 | Medtronic, Inc. | Module de dégazage pour un circuit d'écoulement conforme commandé |
| US20170296733A1 (en) | 2016-04-15 | 2017-10-19 | B. Braun Avitum Ag | Method of draining a device for extracorporeal blood treatment |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102022119819A1 (de) | 2022-08-05 | 2024-02-08 | Fresenius Medical Care AG & Co. KGaA | Blutbehandlungsvorrichtung |
Also Published As
| Publication number | Publication date |
|---|---|
| KR20230175224A (ko) | 2023-12-29 |
| US20240207494A1 (en) | 2024-06-27 |
| AU2022260476A1 (en) | 2023-10-12 |
| WO2022223669A1 (fr) | 2022-10-27 |
| CA3217042A1 (fr) | 2022-10-27 |
| EP4326361A1 (fr) | 2024-02-28 |
| CN117202948A (zh) | 2023-12-08 |
| JP2024514600A (ja) | 2024-04-02 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| R012 | Request for examination validly filed | ||
| R083 | Amendment of/additions to inventor(s) |